Provider Information for 1396086203
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
Mrs. AMY L CRABTREE LCSW
Sex: Female
NPI: 1396086203
Last Updated: 2013-03-04
Certification Date:
Certification Date:
Details
Name | Value | ||||||||
---|---|---|---|---|---|---|---|---|---|
NPI | 1396086203 | ||||||||
Enumeration Date | 2013-03-04 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | NO | ||||||||
Status | Active | ||||||||
Mailing Address | 240 W TYRONE RD OAK RIDGE, TN 37830-6517 United States Phone: 865-482-1076 | Fax:865-481-6164 | ||||||||
Primary Practice Address | 110 N TENNESSEE AVE LA FOLLETTE, TN 37766-2488 United States Phone: 423-562-7426 | Fax: | ||||||||
Secondary Practice Address(es) | |||||||||
Health Information Exchange |
| ||||||||
Other Identifiers |
| ||||||||
Taxonomy |
|